When hospice reverts to the lowest common denominator and leaders obsess about metrics, it's time to speak. Self-inflated leaders assume clinicians give until their backs break, given no raises for years. A clinical ladder is a rainbow’s pot of gold. Others have a sorrier job and must be motivated by money. Abysmal leaders dangle extrinsic rewards for admission, hiring and EDBITA targets. “Sign on” bonuses entice people into a poor work environment. Employees’ voice equals their raise, zero.

Sunday, July 17, 2016

The chief financial officer position is accountable for the
administrative, financial, and risk management operations of the
company, to include the development of a financial and operational
strategy, metrics tied to that strategy, and the ongoing development and
monitoring of control systems designed to preserve company assets and
report accurate financial results.

Kindred CFO Stephen Farber is the recipient of a second relocation package which included $250,000, the purchase of his home for $2.15 million and payment of legal, design and construction of a new driveway. Louisville's WDRB says:

Minow, who co-wrote a business school textbook called Corporate
Governance, said it would be hard for the company to defend paying for
Farber to move once he had settled in Louisville.

“A relocation
fee is supposed to be for when they move in order to take the job,” said
Minow. “You’re not supposed to pay for them to move because they don’t
get along with their neighbor.”

Stout, who chairs the corporate
governance group at the Minneapolis law firm Fredrikson & Byron,
said the money Kindred has spent on Farber’s behalf is “nickels and
dimes in a multi-billion-dollar company,” but it sends the wrong message
about the “company culture” to Kindred’s thousands of employees.

“Integrity
starts at the top, and tone at the top is important because it sets the
tone for the organization,” he said. “It’s very hard to get the
employees of the company to take ethics and culture seriously if the
people at the top aren’t.”

Top executives and the Board decided to mobilize significant company resources to manage their CFO's dispute with a neighbor. It took two Louisville news organizations to shed light on the situation.

“The true test of a man’s character is what he does when no one is watching.”
― John Wooden

Saturday, July 16, 2016

The story behind Kindred Healthcare's strange purchase of CFO Stephen Farber's home in December 2015 continues to develop. WDRB discovered Farber had moved from the home months earlier, casting doubt over Kindred's concerns regarding Farber's personal safety. WDRB reported:

But records in a Jefferson County court case now show that Farber had
already moved from the Glenview home months before he and his wife
decided to sell it to Kindred in December.

The case also reveals
the extent to which Kindred has committed its corporate resources to
assist Farber in the ongoing dispute with his ex-neighbor, real estate
investor David Fenley.

Last August, for example, it was Kindred
that hired and paid the invoices of a land surveying and engineering
firm that designed a new driveway on what was then Farber’s property.
The driveway, now under construction by Kindred, could cost as much as
$360,000 in all, according to a deposition.

Governance expert Nell Minnow weighed in on the home purchase by Kindred:

“There certainly can be no question of safety if he has already moved,”
she said. “At the very least, it sounds deliberately misleading.”

John Stout, a Minneapolis lawyer who previously chaired the corporate
governance committee of the American Bar Association, said the
situation “obviously doesn’t reflect well on the company, and it doesn’t
reflect well on how they explain this.”

Susan Moss, Kindred’s
corporate spokeswoman, did not respond to a phone call and a set of
emailed questions from WDRB. Moss has not responded to inquiries about
the Farber home purchase since January.

Jan West, an attorney
representing Kindred and Farber in the ongoing litigation over the
driveway, also did not respond to a request for comment.

I can see the company is non-responsive to more than employee needs. From pay to home purchases Kindred's new executive drive is clearly designed to benefit senior leaders.

Saturday, July 2, 2016

I dreamt Kindred at Home President David Causby met with senior hospice leaders in search of savings for the remainder of 2016 and 2017. This came despite Gentiva's extraordinary contribution to Kindred's financial health:

Gentiva currently makes up about half of the company’s earnings before
interest, taxes, depreciation and amortization “which is pretty
significant.”

My dream visioned how hospice functions might be centralized to drive cost savings and raise margins. I saw a new CBO, Centralized Bereavement Office, where the bereaved can call for help with their grief?

I heard the company's phone response to a calling griever:

You've reached Kindred at Home Hospice's Centralized Bereavement Office. Our hours are 8:00 am to 5:00 pm Central Louisville time. Please listen to the following options as our menu has changed. If you are grieving the death of a spouse in English, press 1. Para Espanol, marque Dos. For Cajun, shout "TREE." If your loved one died before you signed the mandatory arbitration clause for dispute resolution - Kindred at Home Hospice bereavement services are not available to you at this time. Thank you and have a great day!"

"God forbid you ever need hospice, but should you, I'll be glad to help with your social service needs."

I told CORE we have five talented social workers and I would not need her service She said:

There are no longer five social workers at your site. I am the exclusive social worker for all Kindred at Home-formerly Gentiva Hospices. Once our re-branding is complete someone will update this message."

I rushed to our site to find five empty offices. The name posted next to each door was CORE BITDAR.

I needed someone to talk to so I called our Chaplain on call. Instead of my dear, wise friend I got:

Hello. Welcome to Kindred's Chaplain by Phone line. God is closer to you than the phone you are holding to your ear. If you are using a microphone and earbud please adjust accordingly. If what you've heard thus far has not provided you comfort please remain on the line and a person of faith will be with you shortly.

Your call will be answered in the order it was received. Kindred at Home Hospice's spiritual care coordinators specialize in providing customized spiritual support at key junctures in the dying process. Please answer a few questions that will help our staff better meet your needs. Press 1 if you believe in God, 2 if you believe there is no God and 3 if you are agnostic.

Beep. Your expected wait time to be served is ____ minutes. There are _____ people (believers, atheists or ignoramuses) ahead of you in the Kindred at Home Hospice bereavement queue.

Kindred at Home Hospice believes matters of faith are individual and personal. That's why we set up Kindred at Home Hospice's 24 hour a day Chaplain by Phone service. If you are a struggling griever please hang up and call the Kindred at Home Hospice Centralized Bereavement Office. Your courtesy in this regard will enable our chaplains to serve patients and families yet to experience the tragic loss of their beloved. Thank you and have a great day!

I was not having a great day at all. I just needed someone to talk with, someone who I knew and cared. Surely, one of our big hearted, giving volunteers was around. Our Volunteer Coordinator's office had large chains on the door. The sign said to go to www.KindredatHomeHopsiceVolunteerbyDroneservice.com.

What the ...? Kindred leaders instituted a Volunteer by Drone service.

Their website read:

Drones currently provide most of the tasks historically performed by a human volunteer. A drone can hover in a patient's living room providing an extra set of Kindred eyes for reassurance (Note: drone recharging times may vary).

Should you or your loved one live in a high crime area Kindred offers the option of an armed drone. Kindred's trained staff would have the sole ability to engage the drone's security features.

This Kindred at Home Hospice - Personal Home Drone Security Service (KAHH-PHDSS) is provided for an extra fee as it is not a core part of Medicare's hospice benefit.

When I awoke I was sure Causby and company had their thinking caps on as to how to reduce heads, the employee kind, while centralizing critical functions. I venture they want Kindred at Home Hospice employees gathered en masse for potential leadership interventions. Proximity makes it easier to apply management attention, which expressly excludes compensation increases or any form of sincere thank you. It's a corral and control function.

Cost savings, also known as sinergies, are needed to drive executive pay. Sinergies will arrive a multitude of ways, most poorly planned and woefully executed. It's Kindred where "Executive Pay Matters." The rest, not so much.